Skip to main content

Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Provider Notice issued 06/14/12

Participant Co-payments Effective July 1, 2012

To:​

Participating Pharmacies

​Date:

​June 14, 2012

​Re:

Participant Co-payments Effective July 1, 2012​


As a result of SB2840, which was recently passed by the General Assembly, the following changes will be made to Medicaid participant co-payments for drugs.

Effective with dates of service on and after July 1, 2012, following are the new co-payments for drugs:

Brand name prescription drugs: $3.65 (formerly $3);

Generic prescription drugs: $2 (formerly $0);

Over-the-counter drugs: $3.65 (formerly $0).

Reimbursement and co-payments under the non-Medicaid programs are not affected by this change.

Patients who are currently exempt from co-payments, such as pregnant women and children, will continue to be exempt from co-payments.

If you have questions, please contact the Bureau of Pharmacy Services at 1-877-782-5565, option 7.

Theresa A. Eagleson, Administrator

Division of Medical Programs